Organization · Type 2 NPI
State of South Carolina
Public Health or Welfare Agency · Allendale, SC
NPI number
1801985635
Active
Practice location
571 Memorial Avenue North
Allendale, SC 29810
Fax (803) 584-8107
Mailing address
400 Otarre Pkwy
Cayce, SC 29033-3751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
About NPI 1801985635
State of South Carolina's National Provider Identifier is 1801985635, issued on Oct 12, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Allendale, SC. The record was last updated on Oct 7, 2025.